Paramedic PapersTopic
Other research
15 recent papers on other in paramedic and prehospital care, newest first. Each has a plain-English summary, the study design, the main finding and caveat, and what it means for Australian practice.
-
Cluster trials read differently to individual ones
Meta-epidemiological study of 65 meta-analyses (212 trials, 315,276 patients) comparing cluster-randomised with individually randomised trials in prehospital, emergency and critical care — no difference in mortality effect estimates, but cluster trials reported significantly smaller effect sizes for length-of-stay-type outcomes.
-
Prehospital ultrasound as a decision tool
Structured narrative review of 38 articles on prehospital POCUS across cardiac arrest, shock, dyspnoea, trauma, paediatric and obstetric uses — it can identify reversible causes in arrest, characterise shock and support trauma triage and destination decisions, but limited sensitivity means it can't rule anything out.
-
AU/NZ emergency care research priorities being set
ACEM's Clinical Trials Network, with the James Lind Alliance, has launched a priority setting partnership to set the emergency care research agenda for Australia and Aotearoa New Zealand for the next 5–10 years.
-
Emergency Department Operational Measures Associated with EMS Redirection Activation and Duration
Single-centre New York study over 392 days found EMS ambulance redirection activated on 63.8% of days, with ED visit volume associated with activation and door-to-room time associated with both activation and cumulative duration — but boarding and admissions were not.
-
EMS response time and patient outcomes in high-acuity emergency responses: a Danish matched cohort study
Danish matched cohort of 171,708 highest-priority (A-level) responses in Region Zealand tested whether EMS response times affect outcomes — mortality did not rise with longer response times, and the longest-quartile group had lower 30-day (OR 0.87) and 2-day (OR 0.82) mortality than the shortest quartiles.
-
Challenges of turning prehospital prediction of trauma-induced coagulopathy into early administration of tranexamic acid
Editorial using a prehospital machine-learning risk model for trauma-induced coagulopathy found medium- and higher-risk patients still frequently miss tranexamic acid within the 1-hour window, arguing better risk stratification should close the evidence-to-practice gap.
-
Establishing a regional prehospital whole blood program in a border community: the Trauma Regional Advisory Council-V initiative in the Rio Grande Valley of Texas
Implementation report describing how four Texas border counties built a regional prehospital whole blood program across eight domains — governance, MOUs, rotation systems, provider credentialing and grant-funded equipment for rural agencies.
-
Race, Gender, and Survival: a Scoping Review of Disparities in ICU Post-Resuscitation Care and Neurological Outcomes Following Out-of-Hospital Cardiac Arrest
Scoping review of 15 studies found Black women in the US received less bystander CPR, slower emergency response, less ICU intervention and more early DNR/withdrawal decisions after OHCA, with the disparities compounding across the chain of survival.
-
Paramedics strained by end-of-life care gaps
A UK survey of 182 paramedics found end-of-life care in the community is undermined by practical gaps — 54% often had no access to the medicines they needed, 88% couldn't reach advance care planning documentation, and only 28% felt competent in the role.
-
How to write medicolegal statements
Practical guide on the statement types Australian emergency clinicians may be asked to provide for police, coroners and criminal proceedings — they're statements of fact rather than opinion, and structure and clarity matter
-
Single-dose aminoglycoside AKI risk in CKD
Retrospective cohort across four Australian hospitals — single-dose aminoglycosides caused AKI in 30.9% of CKD patients vs 13.4% without CKD (OR 2.88)
-
Chronic liver disease ED presentations in Queensland
CLD‐related ED presentations are increasing and place substantial demand on hospital services in Queensland.
-
Prehospital NEWS predicts death despite low ED triage
Prehospital physiologic instability was associated with increased in-hospital mortality among patients classified as low risk at ED triage.
-
Wearable Doppler ultrasound for prehospital monitoring
They reviewed wearable Doppler ultrasound technology for prehospital haemodynamic monitoring, and found it may detect occult haemodynamic compromise earlier than standard vital signs alone.
-
GPT estimates pneumothorax size to guide care
Tested whether a vision-enabled GPT model could estimate pneumothorax size and guide tube thoracostomy vs conservative care, and it matched radiologist measurements closely with good agreement to real-world ED decisions.